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Deficiency Records for Hagerstown Healthcare Center
View the most recent health deficiencies and inspection results for Hagerstown Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hagerstown Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-06 | 2026-04-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-06 | 2026-04-13 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-03-06 | 2026-04-13 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-11-26 | 2026-02-26 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-11-26 | 2026-02-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-11-26 | 2026-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-26 | 2026-02-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-11-26 | 2026-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-26 | 2026-02-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-11-26 | 2026-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-26 | 2026-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-26 | 2026-02-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-11-26 | 2026-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-26 | 2026-01-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-11-26 | 2026-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-26 | 2026-01-27 | N |
| Provide activities to meet all resident's needs. | Health | 2025-11-26 | 2026-01-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-11-26 | 2026-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-26 | 2026-01-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-11-26 | 2026-01-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-11-26 | 2026-01-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-11-26 | 2026-01-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-11-26 | 2026-01-27 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-11-26 | 2026-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-26 | 2026-01-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-10-23 | 2025-12-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-23 | 2025-12-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-25 | 2024-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-25 | 2024-08-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-22 | 2024-03-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-22 | 2024-03-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-22 | 2024-02-02 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-12-22 | 2024-02-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-22 | 2024-02-02 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-12-22 | 2024-02-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-12-22 | 2024-02-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-12-22 | 2024-02-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-22 | 2024-02-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-12-22 | 2024-02-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-22 | 2024-02-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-22 | 2024-02-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-22 | 2024-02-02 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-22 | 2024-02-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-22 | 2024-02-02 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-12-22 | 2024-02-02 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-12-22 | 2024-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-22 | 2024-02-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-22 | 2024-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-22 | 2024-02-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-22 | 2024-02-02 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-12-22 | 2024-02-02 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-12-22 | 2024-02-02 | N |
| Provide activities to meet all resident's needs. | Health | 2023-12-22 | 2024-02-02 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-12-22 | 2024-02-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-22 | 2024-02-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-12-22 | 2024-02-02 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-12-22 | 2024-02-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-22 | 2024-02-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-22 | 2024-02-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-21 | 2023-09-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-08 | 2019-08-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-08 | 2019-08-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-08 | 2019-08-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-08 | 2019-08-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-08 | 2019-08-27 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-04-08 | 2019-08-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-08 | 2019-08-27 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-04-08 | 2019-08-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-08 | 2019-08-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-04-08 | 2019-08-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-08 | 2019-06-24 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2019-04-08 | 2019-06-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-08 | 2019-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-08 | 2019-06-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-04-08 | 2019-06-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-08 | 2019-06-24 | N |
| Post nurse staffing information every day. | Health | 2019-04-08 | 2019-06-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-08 | 2019-06-24 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-04-08 | 2019-06-24 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-04-08 | 2019-06-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-04-08 | 2019-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-08 | 2019-06-24 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-04-08 | 2019-06-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-04-08 | 2019-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-08 | 2019-06-24 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-04-08 | 2019-06-24 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-04-08 | 2019-06-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-08 | 2019-06-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-08 | 2019-06-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-08 | 2019-06-24 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-04-08 | 2019-06-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-08 | 2019-06-24 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-04-08 | 2019-06-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-04-08 | 2019-06-24 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2019-04-08 | 2019-06-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-08 | 2019-06-24 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-08 | 2019-06-24 | N |
| Meet other general requirements. | Fire Safety | 2019-04-08 | 2019-05-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-08 | 2019-05-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-04-08 | 2019-05-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-04-08 | 2019-05-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-08 | 2019-05-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-08 | 2019-05-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-04-08 | 2019-05-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-08 | 2019-05-31 | N |